93931 coverage policies: Medicare and commercial payers

20 active Medicare policies list 93931, and 4 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.

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Medicare policies listing 93931

LCD · FIRST_COAST-L40288

Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities

LCD · FIRST_COAST-L40289

Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities

J9 · Effective May 17, 2026

LCD · NOVITAS-JH-L40275

Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities

LCD · NOVITAS-JH-L40276

Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities

JH · Effective May 17, 2026

LCD · NOVITAS-JL-L40275

Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities

LCD · NOVITAS-JL-L40276

Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities

JL · Effective May 17, 2026

LCD · WPS-J5-L35761

Non-Invasive Peripheral Arterial Vascular Studies

J5 · Effective Oct 1, 2015

LCD · WPS-J8-L35761

Non-Invasive Peripheral Arterial Vascular Studies

J8 · Effective Oct 1, 2015

LCD · CGS-J15-L34045

Non-Invasive Vascular Studies

J15 · Effective Oct 1, 2015

Commercial payer policies listing 93931

4 policies from 2 payers

Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.

Carelon Medical Benefits Management

Carelon Medical Benefits Management policies listing 93931, with the code’s status in each
Policy	Effective	Status of 93931
Advanced Imaging for Vascular IndicationsClinical Guideline · CARELON-ADVANCED-IMAGING-FOR-VASCULAR-INDICATIONS	Not recorded	Covered
Vascular ImagingClinical Guideline · CARELON-VASCULAR-IMAGING	Not recorded	Covered
Vascular Ultrasound and Physiologic TestingClinical Guideline · CARELON-VASCULAR-ULTRASOUND-AND-PHYSIOLOGIC-TESTING	Not recorded	Covered

Aetna

Aetna policies listing 93931, with the code’s status in each
Policy	Effective	Status of 93931
Complex Regional Pain Syndrome (CRPS): DiagnosisPayerPolicy · AETNA-CPB-0147

93931 coverage policies: Medicare and commercial payers

Medicare policies listing 93931

Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities

Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities

Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities

Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities

Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities

Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities

Non-Invasive Peripheral Arterial Vascular Studies

Non-Invasive Peripheral Arterial Vascular Studies

Non-Invasive Vascular Studies

Commercial payer policies listing 93931

Carelon Medical Benefits Management

Aetna

93931 coverage policies: Medicare and commercial payers

Medicare policies listing 93931

Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities

Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities

Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities

Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities

Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities

Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities

Non-Invasive Peripheral Arterial Vascular Studies

Non-Invasive Peripheral Arterial Vascular Studies

Non-Invasive Vascular Studies

Commercial payer policies listing 93931

Carelon Medical Benefits Management

Aetna

Non-Invasive Vascular Studies

Non-Invasive Vascular Studies

Peripheral Venous Ultrasound

Peripheral Venous Ultrasound

Peripheral Venous Ultrasound

Billing and Coding: Independent Diagnostic Testing Facilities (IDTF)

Billing and Coding: Non-Invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities

Billing and Coding: Non-Invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities

Billing and Coding: Non-Invasive Peripheral Arterial Vascular Studies

Billing and Coding: Non-Invasive Vascular Studies

Billing and Coding: Non-Invasive Vascular Studies